Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.93 / $731.00 / $7,212.00	Facility		$176.93	$731.00	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.77 / $422.94 / $585.16	Professional		$171.77	$422.94	$585.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,614.00 / $7,572.00 / $18,942.00	Facility		$1,614.00	$7,572.00	$18,942.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.02 / $344.12 / $619.51	Professional		$148.02	$344.12	$619.51
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $222.04 / $516.17 / $929.27	Professional	50	$222.04	$516.17	$929.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $173.53 / $249.89 / $642.36	Facility		$173.53	$249.89	$642.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $480.55 / $594.97 / $823.80	Professional		$480.55	$594.97	$823.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,158.09 / $2,158.09 / $2,158.09	Facility		$2,158.09	$2,158.09	$2,158.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.35 / $522.64 / $764.57	Professional		$200.35	$522.64	$764.57
United Facility/Professional Facility Modifier Low / Median / High Price $3,364.00 / $6,094.00 / $10,413.00	Facility		$3,364.00	$6,094.00	$10,413.00
United Facility/Professional Professional Modifier Low / Median / High Price $452.78 / $580.73 / $928.08	Professional		$452.78	$580.73	$928.08